Seulki Yang, DDS., Inc

Primary specialty

DentistTaxonomy code 122300000X

License

61510 Issued in CA

Legal business name

SEULKI YANG, DDS., INC

Practice address

350 N Riverside Ave
Rialto, CA 92376-5926

Phone

(909) 875-8670

Fax

(909) 875-3626

NPI assigned

Apr 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sophia Kim, DDS

Title

Ceo/President

Phone

(909) 875-8670

Specialties & licenses 1

Addresses

Other names 1

• Downtown Rialto Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1700373784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765926",
            "telephone_number": "909-875-8670",
            "fax_number": "909-875-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765926",
            "telephone_number": "909-875-8670",
            "fax_number": "909-875-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEULKI YANG, DDS., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-875-8670",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Rialto Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Seay
• Marleen Sebetich Reitsma
• Leandre Selyer, ACSW
• Anjali Sequeira, LMFT
• Serenitylife Therapy LCSW
• Diego H Sevilla, PHYSICIAN ASSISTANT
• Flora Mohamed F Shafiee, DPTS
• Samir B Shah, D.D.S.
• Ravindranath Vishnu Shahane, M.D.
• Matthew Eric Shamlin, LMFT

• Dentist in Rialto, CA
• Providers in Rialto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.